Blood management issues - Using blood management strategies

被引:12
作者
Stulberg, Bernard N. [1 ]
Zadzilka, Jayson D. [1 ]
机构
[1] Joint Reconstruct Inc, Cleveland Ctr, Cleveland, OH 44113 USA
关键词
blood management; anemia; transfusion; preoperative autologous blood donation; Procrit; epoetin alfa;
D O I
10.1016/j.arth.2007.03.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Blood management strategies is a term used to address a coordinated approach to the management of blood loss in the perioperative period for total joint arthroplasty. The premise of any blood management strategy, is that each patient, surgeon, and operative intervention experiences different risks Of requiring transfusion, that those risks can be identified, and that a plan can be implemented to address them. A surgeon's decision to transfuse should be based oil physiologic assessment of the patient's response to anemia and not on an arbitrary number ("transfusion trigger"). Intervention strategies can he applied preoperatively, intraoperatively, and postoperatively. Patient-specific planning allows for the appropriate use of patient, hospital, and system resources, ensuring that the consquences of anemia are minimized and that the patient's recovery process is optimized.
引用
收藏
页码:95 / 98
页数:4
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